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Purge Lo <br /> / g g Form <br /> ro ect Name n/ �'' y <br /> J Protect Number 9 S'• O�rl Site Location f i <br /> Well No �- _ Date O$`a g l Field Tech A F <br /> Total Depth S 9 5 Depth to water Water Column Length 6 1 <br /> Casing Diameter Casing Factor •1 Volume Calculation (? <br /> Total Purge Volume S t) Casing volumes Produced S 0 Pump Type IQAav, <br /> PH Meter CahbrateoY r N Cond.Meter_ Calibrated 96r N <br /> Temp Meter Turbidity Meter MA Calibrated Y or N � <br /> [Casing Factor 2"= I7 3"=38 4"=66 5"=1 Q2 6"=l 5 8"=2 6 <br /> � g (In Gallons per linear foot)] <br /> f ' <br /> l <br /> Timc Prod.Ratt, Gallons(totai) DTVI Ph EC Tem (°C) Turbidity Comments <br /> 0 8[r r. 01 s0 5,i 6 64 6Y A <br /> na .c,A94, <br /> 4 . 0 6 �. F37- � ,�` �i�.,en►.r»h alb► <br /> t. <br /> ] <br /> E <br /> 4 <br /> Storage or Disposal Method S'S Vd c, Total Drums Onsite �. <br /> Percent Recharge Prior to Sampling /0� W Sample Collection Method OOAVV"� AZUO <br /> Sample Labeled M w ' 7-- Sample Tune 6S Laboratory Q" tom+ <br /> Analysis G No of Containers <br /> i <br /> Duplicate Trip Blank Rinsate Blank <br /> I <br /> Comments <br /> rte._ <br />